2024-07-24T07:13:55-05:00 2023-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-10-01 411804205 LifeCare Medical Center LIFE 2184632500 715 Delmore Dr Roseau MN 56751 Keith Okeson CEO/President 2184632500 2024-07-23 1 Keith Okeson 999009999 1 Kim Hunwardsen CPA P00484560 6122536500 2024-07-23 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Keith Okeson 715 Delmore Dr Roseau MN 56751 58567173 0 X www.lifecaremedicalcenter.org X 1995 MN Promotion of Health 12 8 564 350 0 0 2094410 2502095 54523154 54518399 304967 1076397 160239 156730 57082770 58253621 60250 226000 0 0 32927160 32290761 0 0 0 21591236 23109864 54578646 55626625 2504124 2626996 101103944 104672030 7131295 7537432 93972649 97134598 X To provide care for a healthy life. 1 0 46584634 226000 54518399 LifeCare Medical Center operates a 25-bed critical access hospital, a 40-bed nursing facility, a 42-unit assisted living facility, home health, hospice, and public health in Roseau, Minnesota. The organization also operates a 40-bed nursing facility and 12 apartments of assisted living in Greenbush, Minnesota. The organization also operates a community wellness and rehabilitation center in Warroad, Minnesota. The purpose of the Medical Center is to own, maintain, and operate a hospital and nursing homes, and to furnish medical and surgical care to the sick, infirm, or injured.Continued on Schedule O...Acute Care Hospital (Inpatient and Outpatient)Inpatient days: 2,307 (1,257 IP and 1,113 SWB)Long Term CareLifeCare Roseau Manor Resident Days: 12,543LifeCare Greenbush Manor Resident Days: 13,002LifeCare Greenbush Assisted Living Resident Days: 2,894LifeCare Senior Living Resident Days: 8,264Home Health/Public Health Visits: 4,405Hospice Clients Served: 19To fulfill its mission of community service, LifeCare Medical Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The amount of charges foregone, based on established rates, was $149,304 for the year ended September 30, 2023.LifeCare Medical Center was selected by The National Rural Health Association's Rural Health Policy Institute, iVantage Health Analytics and The Chartis Center for Rural Health as one of the top 100 Critical Access Hospitals in the country based on quality, customer surveys, and financial indicators. We are very proud of our staff in being selected in 2018, 2020, and 2021 for this honor. 46584634 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 96 0 1 564 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X Cathy Huss 2184634763 715 Delmore Drive Roseau MN 56751 Corwin Vatnsdal Chair 1.00 X X 2200 0 0 Therese McBride Treasurer 1.00 X X 1200 0 0 Brenda Sather Vice Chair 1.00 X X 700 0 0 Mark Wilson Secretary 1.00 X X 1500 0 0 Beth Johnson Trustee 1.00 X 900 0 0 Matthew Ulwelling Trustee 1.00 X 400 0 0 Ronald Brummer Trustee 1.00 X 1000 0 0 Shayne Isane Trustee (Until Jun 23) 1.00 X 700 0 0 Chuck Lindner Trustee 1.00 X 900 0 0 Jessica Foss Trustee 1.00 X 800 0 0 Mark Karl Trustee 1.00 X 1000 0 0 Dan Urness Trustee 1.00 X 1100 0 0 Megan Comstock Trustee 1.00 X 900 0 0 Keith Okeson CEO/President 40.00 X 483899 0 41417 Cathy Huss CFO 40.00 X 343141 0 13456 Shannon D Carlson COO 40.00 X 242925 0 30578 Rebecca Holmstrom CNO (Until Oct 22) 40.00 X 199850 0 24496 Alan Grillo Emergency Medicine Physician 40.00 X 425882 0 30366 Andrew Humes CRNA 40.00 X 275976 0 24413 Renae Johnson CRNA 40.00 X 264202 0 48529 Amber Wibbels Podiatrist 40.00 X 223172 0 34500 Gordon Streiff Pharmacy Director 40.00 X 207005 0 42835 2679352 0 290590 51 0 1 0 Comstock Construction Inc 1003 Progress Dr Fergus Falls MN 56538 Construction Contractors 3875979 WAPITI Media Group Limited 107 Flynn Drive Milbank SD 57252 Emergency Room Physicians 1863437 Central Minnesota Diagnostic PO BOX 158 Milaca MN 56353 Imaging Services 667920 Mayo Collaborative Services PO BOX 9146 Minneapolis MN 55480 Laboratory Services 602380 Foss Architecture & Interiors 810 1st Ave N Fargo ND 58102 Architect Fees 356414 9 255888 2246207 2000724 2502095 Net Patient Service Revenue 621110 53683665 53683665 Other Revenue 621500 834734 834734 54518399 1069337 1069337 469342 312612 156730 156730 156730 8000 940 7060 7060 7060 58253621 54518399 0 1233127 X 220000 220000 6000 6000 1317026 1317026 24570826 21261270 3309556 894935 818008 76927 3684324 3096715 587609 1823650 1506943 316707 41335 41335 107184 107184 46557 46557 7244363 6725541 518822 154228 154228 1321072 617349 703723 1070233 1018371 51862 383360 354970 28390 69608 24162 45446 45354 45354 3125788 2828622 297166 304234 304234 Medical Supplies 5979648 5979648 Repairs & Maintenance 1287701 466218 821483 Surcharge Fees 626614 626614 Food and Dietary Cateri 459985 427692 32293 842600 514600 328000 55626625 46584634 9041991 0 15905856 12480638 8527593 8502736 1768210 1890498 230002 283882 70803597 42459380 23871408 28344217 50360371 52040851 440504 541795 0 587413 101103944 104672030 6342940 6083535 11804 405743 285297 284426 491254 763728 7131295 7537432 X 93972649 97134598 93972649 97134598 101103944 104672030 2626996 534953 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 359040 359040 45675405 29133865 16541540 21919242 12362478 9556764 2849910 963037 1886873 28344217 Estimated Third Party Payor Settlements 153209 Finance Lease Liability 610519 763728 X 59054629 534953 534953 58519676 46557 -312612 -266055 58253621 55892680 312612 312612 55580068 46557 46557 55626625 Part IV, Line 2b: The Medical Center acts as custodian for the funds of the residents, holds resident security deposits, and holds employee voluntary withholdings. Funds for residents and others totaled $285,297 and $284,426 at September 30, 2022 and 2023. Part X, Line 2: The Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Rental Expense Recorded in Expense for Financial Statements -312,612. Part XII, Line 2d - Other Adjustments: Rental Expense Recorded in Revenue on Form 990 312,612. 1 1 X 1 X 1 X 1 1 0 0 97000 97000 0.00170 5818065 4719159 1098906 0.01980 5915065 4719159 1195906 0.02150 434373 434373 0.00780 501109 19736 481373 0.00870 17988595 13006594 4982001 0.08960 33817 33817 0.00060 18957894 13026330 5931564 0.10670 24872959 17745489 7127470 0.12820 855 855 0.00000 17173 17173 0.00030 410441 410441 0.00740 13148 13148 0.00020 136353 136353 0.00250 450501 450501 0.00810 21734 8052 13682 0.00020 1050205 8052 1042153 0.01870 0 1589922 116064 9057465 9207092 -149627 X 1 1 1 1 LifeCare Medical Center 715 Delmore Drive Roseau MN 56751 www.lifecaremedicalcenter.org 00579 X X X X X Urgent Care LifeCare Medical Center 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X www.lifecaremedicalcenter.org/about-us X 1 21 1 www.lifecaremedicalcenter.org/about-us 0 1 X 200.000000000000 250.000000000000 X X 1 1 X X X X 1 X https://lifecaremedicalcenter.org/financial-assistance/ X https://lifecaremedicalcenter.org/financial-assistance/ X https://lifecaremedicalcenter.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 LifeCare Medical Center Part V, Section B, Line 5: LifeCare Community Relations and LifeCare Public Health collected community input on the health needs of Roseau County through a series of meetings with targeted individuals and groups, which represented all age and geographic levels of our service area. There were 13 meetings in total, which occurred between March 2022 through May 2022. These meetings included the 3 largest employers in our service area: Marvin Windows & Doors, Central Boiler, and Polaris. Meetings also included the Warroad, Badger, Greenbush and Roseau schools, Roseau County, Roseau Police Department, Roseau Ministerial Association, and Roseau City Council. In addition, those who serve low-income and minority populations were represented by Roseau County Social Services, LifeCare Public Health, and NW Community Action. Everyone participating in the interviews was given a list of specific health indicators/needs based on past responses from previous needs assessments and asked the following open-ended questions on community health needs: 1. What do you believe are the 2-3 most important issues that should be addressed to improve the quality of life for people in our community? 2. After reviewing the Health Indicators List, what items do you think are the most pressing health concerns for our citizens and why? Are there any not on the list that you believe are a concern? 3. What (if anything) is holding our community back from doing what needs to be done to improve health and quality of life for residents? 4. If you could create the healthiest community what would that look like to you? 5. Please share a few things our community could do better to enhance the health of our residents: The responses from these individual meetings were then forwarded on to Garth Kruger, EvaluationGroup, LLC and he compiled them into a comprehensive list of community health needs and suggestions. LifeCare Medical Center Part V, Section B, Line 11: LifeCare Medical Center continues to work on the needs identified in the most current CHNA that was completed in 2022. The needs identified in the current CHNA are Mental Health, Chronic Disease Management and Tobacco/ Alcohol/Drugs1. MENTAL HEALTH*Our Integrative Behavioral Health Committee continues to meet at least monthly to review and plan mental health related activities for staff and community.*LifeCare Behavioral Health added a full time (.8 FTE) Psychiatric Mental Health Nurse Practitioner to their staff. A Registered Nurse position (.8 FTE) also remains on staff to help with patient care & education, triage, and support. *Paula Hedlund was hired to fill the role of Director of Community Health which oversees Behavioral Health, Public Health and Community Wellness.*Paula Hedlund, Director of Community Health, attends monthly meetings as a Board member of the MAX Foundation which is a local suicide prevention group. The mission of this group is to support programs, projects and activities that facilitate mental health wellness amongst youth.*The MAX Foundation continues to work on the implementation of Project 11, a mental health & wellness curriculum for grades K-12. Our service area has 3 of 4 schools participating. The Foundation is also working on hiring a staff member to be the P11 Coordinator to enhance the work of the program and expand to other area schools.*The MAX Foundation also partnered with Tim Denney and the Minnesota State High School League to develop four mandatory mental health modules for all MSHSL coaches to view. This was started in August of 2023.*LifeCare continues to have staff members attend the monthly H.O.P.E. coalition meetings. This coalition is committed to ending death by suicide in NW MN through Help, Outreach, Prevention and Education. *LifeCare continues to share mental health messaging and education with our community partners.*Participated in "Be The Voice" events in Thief River Falls, MN and Warroad, MN. These events included a Mental Health Expo and Suicide Awareness Speakers for the communities. *Wellness speaker event, featuring Tami Evans, was held at the Roseau School Theater for the community.*We continue to post mental health resources and positive messaging via our social media accounts.*Mental Health Mondays was started.*Motivational Speaker, Hunter Pinke, presented to Warroad and Greenbush students. This was sponsored by the Max Foundation. There was also a Community presentation held in the spring of 2023 in Warroad, MN.*Partnered with Roseau County to promote positive mental health messaging and resources at the Roseau County Fair. The theme this year was promoting the new 988 crisis/suicide prevention line.*Presented "Embracing Hope", a community-focused event that featured inspirational speakers addressing life challenges, terminal illness, grief, and finding healing through faith and support. *Question/Persuade/Refer (QPR) suicide prevention class was held for the community at the Warroad School.*Paula Hedlund participates in a Warroad Community Development focus group on Mental Wellness.2. CHRONIC DISEASE PREVENTION*The 24-hour onsite wellness/fitness centers were available for use in Roseau, Warroad and Greenbush.*LifeCare continued to provide an online portal, The Pulse, for employees to use as a resource for exercise programming and health education for themselves and their families.*The annual Walk/Run was held in May.*LifeCare continues to have a Registered Dietician available through Rehab services for nutrition consolation.*Social Media continues to be used for communicating education on healthy living.*Participated in Marvin, Polaris & Central Boiler Health Fairs.*The Warroad Wellness Center which houses Behavioral Health and Rehab services, along with a new fitness center and community room for exercise classes and social programming is in full operation. Many community exercise classes are offered weekly and two personal trainers have been hired.*Provided health education at the Roseau Elementary 2nd grade Health Fair.*Power Sports camps and youth fitness training was provided by our rehab staff.*Transitional coach visits are offered and provided to all patients with chronic disease diagnosis at hospital discharge.*Flu and covid vaccination clinics are offered to the public.3. TOBACCO/ALCOHOL/DRUGS *We continue to work with Team EPIC and Roseau County youth to decrease the use of Alcohol, Tobacco and Drugs. Meetings are held monthly.*Drug Take Back events were held in Greenbush, Roseau and Warroad.*We continue to offer Cessation resources on our website and social media accounts.*We continue to provide education on these topics via social media and discharge planning packets.*Public Health completed Tobacco Compliance Checks throughout the County.*Education provided to schools upon request. LifeCare Medical Center Part V, Section B, Line 16j: In addition to providing the full policy upon request, the Hospital also summarizes the policy on its website, billing invoices, as well as brochures summarizing the policy in the emergency rooms and admissions office. 4 1 - LifeCare Roseau Manor 715 Delmore Drive Roseau MN 56751 Skilled Nursing Facility 2 - LifeCare Greenbush Manor 19120 290th Street Greenbush MN 56726 Skilled Nursing Facility and Assisted Living Facility 3 - LifeCare Home Care and Hospice 715 Delmore Drive Roseau MN 56751 Home Health and Hospice Services 4 - LifeCare Senior Living 201 10th St SE Roseau MN 56751 Assisted Living Facility Part I, Line 3c: In addition to the Federal Poverty Guidelines, the Medical Center also used an asset test of $15,000. Part I, Line 7: Charity care was converted to cost by multiplying the ratio of cost to gross charges by the gross uncompensated charges associated with providing charity care to its patients. Community health improvements and cash and in-kind contributions are calculated at actual costs recorded in the general ledger. Health professionals education costs are based on estimated time and wages to manage students and interns at the facilities. Subsidized health services and Medicaid are converted to cost according to costs allocated to the relevant cost centers on the Medicare Cost Report. Part II, Community Building Activities: Community support includes donations to local community organizations and employee staff time donated to local community committees, as well as employee staff time spent on disaster preparedness beyond legal requirements.Coalition building includes EMT and CPR training for area First Responders and Fire Departments, as well as time donated to the Roseau Area Diabetes Center.Community health improvement advocacy includes staff time on healthcare related boards that advocate for healthcare, as well as time spent on discussions on proper prescription drug disposals, med alerts, chronic disease management, time spent in local correctional facilities on prescription drug abuse and on the Roseau County Committee on Aging. By being involved in the community through the above activities, we are able to increase health awareness.Workforce development includses the costs of recruitment to Roseau County, as Roseau County is considered a Health Professional Shortage Area. This promotes better care for our patients. The costs include physician recruitment, career fairs and workforce development committees. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 3: The estimated amount of implicit price concessions is attributable to patients eligible under the organization's charity care policy is calculated by using the estimated percentage of community population that is under the Federal Poverty Guidelines. The organization has estimated 7.3% of the implicit price concessions would be charity care. Part III, Line 4: The financial statement footnote regarding implicit price concessions may be found on page 11 of the audited financial statements. Part III, Line 8: Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, if there is a shortfall, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Part III, Line 9b: Before engaging in ECAs to obtain payment for care, LifeCare Medical Center must make certain reasonable efforts to determine whether an individual is eligible for financial assistance under our financial assistance policy: a) ECAs may begin only when 120 days have passed since the first post discharge statement was provided (an exception is the account with no delivery information and those can go directly to collections). b) However, at least 30 days before initiating ECAs to obtain payment, LifeCare Medical Center shall do the following: i. Provide the individual with a written notice that indicates the availability of financial assistance, lists potential ECAs that may be taken to obtain payment for care, and gives a deadline after which ECAs may be initiated (no sooner than 120 days after the first post discharge billing statement and 30 days after the written notice) ii. Provide a plain-language summary of the FAP along with the notice described above iii. Attempt to notify the individual orally about the FAP and how he or she may get assistance with the application process.After making reasonable efforts to determine financial assistance eligibility as outlined above, LifeCare Medical Center (or its authorized business partners) may take any of the following ECAs to obtain payment for care: a) Report adverse information to credit reporting agencies and/or credit bureaus b) Take action to foreclose property c) Garnish wages d) Place a lien on property. If a patient has an outstanding balance for previously provided care, LifeCare Medical Center may engage in the ECA of deferring, denying, or requiring payment before providing additional medically necessary (but non-emergent) care only when the following steps are taken:a) LifeCare Medical Center provides the patient with an FAP application and a plain language summary of the FAP b) LifeCare Medical Center provides a written notice indicating the availability of financial assistance and specifying any deadline after which a completed application for assistance for the previous care episode will no longer be accepted. This deadline must be at least 30 days after the notice date or 240 days after the post-discharge billing statement for prior care whichever is later. c) LifeCare Medical Center makes a reasonable effort to orally notify the individual about the financial assistance policy and explain how to receive assistance with the application process. d) LifeCare Medical Center processes on an expedited basis any FAP applications for previous care received with the stated deadline. Part VI, Line 2: LifeCare Medical Center provides the Public Health functions for Roseau County. Part VI, Line 3: We have financial counselors who have phone conversations with patients during our collections process. We guide patients to other financial programs as well as our own charity care program. Brochures are available in the admitting area which is in the same location as the Emergency Room. Information is also sent to our patients via patient bills. Our website has the charity care application and brochure, as well as the contact information for our financial counselors, available to patients. Part VI, Line 4: Roseau County is a rural area with a population of approximately 15,331 people. We are the sole hospital located in Roseau County and the nearest tertiary hospital is two hours away. We are a federally-designated medically underserved area. In 2022, approximately 18.1% of the population was age 65 or older. The average median household income is $62,304 and approximately 7.3% of the population is below the federal poverty level. Part VI, Line 5: The organization's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. The hospital operates an emergency room that is available to all, regardless of ability to pay.As a not-for-profit organization LifeCare Medical Center has made a promise to give back to its community. As a regional healthcare leader, LifeCare strives to respond to healthcare needs by partnering with local leaders, educators, government officials and others.The community benefit report summarizes how this leadership role has made a difference to the people of the area. Included are highlights describing how LifeCare has played an integral role in enhancing the health and overall well-being of the community.Trusted PartnershipsLifeCare's commitment to quality care extends beyond its walls and into the community where strong partnerships have been built to maintain and improve the health and overall well-being of its neighbors. LifeCare EMS personnel are proud of their trusted relationships with regional emergency response groups. Area fire fighters, police, and others participate in disaster training sessions where a disaster is staged and responded to as if it were a real life situation. This type of training helps prepare all groups involved.Education for a Healthy FuturePart of LifeCare's mission is to help educate the next generation of health care professionals. LifeCare Directors work closely with many regional high school and post-secondary educational facilities to bring students into our organization through job shadowing, internships, rural scholar and other programs. Through these programs, students get a firsthand look at specific health care careers as they learn from our staff for a day, week, month or several months based on their program. Students often times focus on rural healthcare employment opportunities that may be available to them once they have completed their education.Charity CareLifeCare recognizes that circumstances arise where a patient is simply unable to pay a hospital bill. In these situations, LifeCare offers a program called Charity Care, in which LifeCare forgives the bills of deserving families and individuals who meet set income guidelines. Great appreciation has been voiced by many who received a helping hand from this program. In fiscal year 2023, LifeCare granted $149,304 in Charity Care based on charges foregone.A Healthy Awareness and Community OutreachLifeCare employees know the importance of educating the public about a healthy lifestyle. And sometimes the best way to provide awareness is to venture outside the facility. That's why LifeCare is involved with many initiatives throughout our communities. By reaching out to the public through nutrition and exercise programs, civic projects, health and safety awareness, health fairs, and other methods, they are able to educate and strengthen the community.Fifth grade tours have become a favorite for students throughout Roseau County. A hospital tour is coupled with a mini health fair where students learn their blood type. The goal of this program is to influence young students into making healthy lifestyle decisions, in addition to introducing them to careers in healthcare.Funding Essential ServicesLifeCare's commitment to community needs is exemplified by its contribution to subsidized services. In fiscal year 2023, LifeCare absorbed over $4,982,001 in costs in order to sustain services that rely on funding from other sources, in particular the Medicaid program. These departments include respiratory therapy, home health care, hospice, public health, ambulance, clinic space, behavioral health, OB, and the two nursing homes.LifeCare Medical Center distributed approximately $7.4 million based on cost in Community Benefits in fiscal year 2023 as reported on Schedule H Part I, II and III. 1 Altru Health Foundation 2501 Demers Avenue Grand Forks ND 58206 450368330 501(c)(3) 30000 0 Contribution to new facility construction Warroad Community Development PO Box 265 Warroad MN 56763 862470961 501(c)(3) 20000 0 Multi Purpose Wilderness Trail Greenbush Community Partners PO Box 98 Greenbush MN 56726 874668460 501(c)(3) 10000 0 Walking Path Roseau Youth Hockey 102 2nd St SE B Roseau MN 56751 300504598 501(c)(3) 10000 0 Annual Sponsorship Warroad Memorial Arena Association PO Box 9 Warroad MN 56763 363310495 501(c)(3) 150000 0 Hockey Day Minnesota Sponsorship 5 0 Scholarships 5 6000 Part I, Line 2: The Medical Center does not specifically monitor the use of funds once the funds are provided to the individual or entity. The Organization provides scholarships to both high school students and students currently enrolled in a higher education program. The student must be pursuing a health care related field. If the recipient is a high school student the Organization pays the scholarships directly to the college or university they are attending. If the recipient is currently attending college they will pay the funds to the recipient or the college. X X 1 0 0 0 0 0 0 0 0 Keith Okeson CEO/President 401320 0 54482 0 28097 0 12200 0 29592 0 525691 0 0 0 Alan Grillo Emergency Medicine Physician 374669 0 28072 0 23141 0 10029 0 20713 0 456624 0 0 0 Cathy Huss CFO 283261 0 33016 0 26864 0 11412 0 2419 0 356972 0 0 0 Renae Johnson CRNA 242324 0 2664 0 19214 0 10234 0 38671 0 313107 0 0 0 Andrew Humes CRNA 253960 0 2719 0 19297 0 9662 0 15126 0 300764 0 0 0 Shannon D Carlson COO 213236 0 2972 0 26717 0 8740 0 22213 0 273878 0 0 0 Amber Wibbels Podiatrist 200440 0 12983 0 9749 0 8385 0 26491 0 258048 0 0 0 Gordon Streiff Pharmacy Director 192366 0 3468 0 11171 0 6837 0 36373 0 250215 0 0 0 Rebecca Holmstrom CNO (Until Oct 22) 155740 0 17500 0 26610 0 5727 0 19100 0 224677 0 0 0 Part I, Line 4a Rebecca Holmstrom received $21,533 of severance pay. X Oak Crest assets 1 2000724 Appraisal 0 0 0 0 Part I, Column (b): Column (b) represents the number of contributions. Form 990, Part III, line 2 LifeCare Medical Center acquired Oak Crest Senior Housing's assisted living facility. This is within the exempt purpose of LifeCare Medical Center. Form 990, Part VI, Section A, line 1a The Executive Committee consists of the Chair, Vice-Chair, Treasurer, Secretary, and at least one other director (who shall be selected annually.) The President/CEO will be a non-voting member of the committee. The President/CEO will be excused for matters relating to compensation and evaluation. The Executive Committee shall meet as often as necessary at the call of the Chair, Vice-Chair, or at the request of any two of its members. A majority of the Executive Committee shall constitute a quorum. The Executive Committee's specific responsibilities are to: * Exercise the authority of the board in the management of the business of the corporation between regularly scheduled meetings. * Report to the board any official actions it has taken at the next board meeting. * Review and approve the compensation program for the senior leaders of the organization that is designed to allow the organization to recruit and retain superior talent. * Responsible for conducting on an annual basis the process of establishing goals, evaluating the performance and establishing the compensation of the President/CEO. Form 990, Part VI, Section B, line 11b The return is reviewed initially by the CFO. The return is made available to the Board of Trustees before it is filed. Form 990, Part VI, Section B, line 12c All officers, trustees, and key employees are required to complete a conflict of interest form annually. The form is reviewed by the Board of Trustees to determine if any conflicts exist. If there are any conflicts, the Board of Trustees will discuss the restrictions that should be placed on the person with the conflict. Restrictions are typically related to voting and discussion of matters related to the conflict. Form 990, Part VI, Section B, line 15 The compensation for the CEO and CFO is approved by the Executive Committee based on comparability data. The CEO and CFO both have employment contracts. The deliberation and discussion of compensation is documented in the board meeting minutes. This process takes place on an annual basis. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part IX, line 11g Physician Fees: Program service expenses 3,008,005. Management and general expenses 87,370. Fundraising expenses 0. Total expenses 3,095,375. Service Related Fees: Program service expenses 2,338,997. Management and general expenses 15,429. Fundraising expenses 0. Total expenses 2,354,426. Miscellaneous Fees: Program service expenses 1,378,539. Management and general expenses 416,023. Fundraising expenses 0. Total expenses 1,794,562.